Severe hypertension in childhood.

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Abstract
A series of 55 children with severe hypertension during 1954-64 is reviewed. Pyelonephritis was the commonest predisposing cause and was invariably accompanied by evidence of vesico-ureteric reflux. The onset of hypertension in pyelonephritis does not correlate with the degree of renal function. The probability of finding a surgically treatable cause is appreciably higher in children than in adults. Hypotensive therapy is of value and should be energetically pursued.